Statement of Changes in Beneficial Ownership (4)
19 Dezember 2019 - 9:27PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Lamb Charles W. |
2. Issuer Name and Ticker or Trading Symbol
Mid-Southern Bancorp, Inc.
[
MSVB
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
300 NORTH WATER STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/18/2019 |
(Street)
SALEM, IN 47167
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock, par value $0.01 per share | 12/18/2019 | | A | | 2500 | A | (1) | 4500 | D | |
Common Stock, par value $0.01 per share | | | | | | | | 1759 | I | By Charles W. Lamb Trust |
Common Stock, par value $0.01 per share | | | | | | | | 1759 | I | By Norma J. Lamb Trust |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Option (right to buy) | $13.34 | 12/18/2019 | | A | | 10154 | | (2) | 12/18/2029 | Common Stock | 10154 | $0 | 10154 | D | |
Explanation of Responses: |
(1) | Represents award of restricted stock pursuant to the 2010 Equity Incentive Plan. One half of the restricted stock award vests immediately, with the remainder of the awarded stock vesting on December 18, 2020. |
(2) | The options were granted under the 2010 Equity Incentive Plan. One half of the options granted are exercisable immediately with the remainder of the awarded options becoming exercisable on December 18, 2020. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Lamb Charles W. 300 NORTH WATER STREET SALEM, IN 47167 | X |
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Signatures
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/s/Charles W. Lamb | | 12/19/2019 |
**Signature of Reporting Person | Date |
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